Early assessment, treatment, and family support are important for a good prognosis for ADHD.
Emergence of oppositional defiant features can escalate and become worse and more difficult to treat over months and years if there is failure to intervene
Main office Gainesville 2121 NW 40th Terr Ste B, Gainesville, FL 32605
Ocala Office: 3620 NE 8th Place, Ocala Fl 34470
Worried about diagnosis or failures to respond to treatment? Unhappy with brief assessments?
Do you feel it is important to be evaluated by a real pediatric neuropsychologist with decades of training and experience?
We conduct in-depth and broad-range comprehensive evaluation of you or your child.
We are a small private practice with a statewide, and even national following.
We do more because it matters!
Our modern main office is conveniently located across from the Community Playhouse in the Millhopper Shopping Section of Gainesville. We also have a modern branch office in Ocala, Florida.
We have more than a 30 year history of experience providing neuropsychological assessment of ADHD, Learning Disability and a variety of pediatric neuropsychological or neurological conditions including head trauma, effects of anoxia, neurodevelopmental disorders, Aspergers Disorder, Autism Spectrum Disorders, and other neurologic and psychiatric conditions.
Consumers should beware of individuals with little or no psychological testing training who try to avoid psychology licensing laws by referring to their assessments as anything but a "psychological" or "neuropsychological" assessment. Other terms may be used to avoid licensing laws!
Assessment is tailored to the individual needs of the patient and to consider common co-existing disorders, and issues such as learning disability, depression, and social and motor skill difficulties.
Testing may involve assessment of general ability by an IQ test, parent and/or teacher ratings, measurement of visual and auditory attention and learning, and other neurodevelopmental functions associated with planning, impulse control, and cognitive flexibility.
Learning Disabilities often co-occur or complicate the diagnosis and treatment. Assessment is available from simple screening to comprehensive assessment of visual and auditory processing, learning, reading, writing, arithmetic, and language ability.
Education is provided through groups and by referral to the local chapter of Children and Adults with Attention Deficit Disorder. We provide educational seminars to groups, teachers, and other interested parties.
We were the first in the Gainesville area to offer a structured 10-12 week parent program based on that developed by Dr. Russell Barkley for children with attention and oppositional behavior and to offer social skill groups for children with ADHD, Nonverbal Learning Disablity, or mild Autism Spectrum Disoder. Research conducted in our clinical demonstrated parent training was more effective for oppositional behavior and social skills groups more effective for improving self-esteem.
Individual Therapy is provided as needed by clinical psychologists experienced in the treatment and management of ADHD and related disorders. We have providers experiences working with families, marital issues, children and adolescents.
Referral is made for medication when appropriate. Consultation to family practitioners, pediatricians, neurologists, and psychiatrists is provided.
Nonverbal Learning Disabilities often co-exist or are confused for ADHD. These children have good verbal skills but seem to miss the nonverbal cues and nonverbal relationships that are often essential for subtle social communication.
CITY OF GAINESVILLE EAP
City of Gainesville Employees and their families are eligible for 3 free visits. Though testing is not a covered service by the City of Gainesville EAP, some of the testing may be covered by your insurance depending on out-of-network benefits. Generally, learning disability assessment is not typically covered by Blue Cross or other policies.
We are a private pay clinic that specializes in comprhensive assessments and we are not in-netwerk with any insurance plans. Upon request, we will give you needed information so that you may file for any out-of-network benefits with your insurance. We Accept most major cards incliding Mastercard, Visa, and American Express.
HELPFUL READINGS AND ARTICLES
Syndrome of Nonverbal Learning...
- This book is edited by one of the premier authors about nonverbal Learning disorder.
The source for nonverbal learning...
- This is a good workbook for Nonverbal LD
VISIT OUR CPANCF.COM ARTICLES AND TIPS ARCHIVES FOR MORE ARTICLES
BELOW ARE SOME SAMPLE ARTICLES
- Evaluation Risks in Testing of ADHD - False Negative and False Providers
by Ernest J. Bordini, Ph.D.
Several articles in professional journals indicate that as in all diagnostic endeavors, psychological test data must be understood in the larger clinical context to avoid misdiagnosis.
The general theme of the articles is that while ADHD children, as a group, have been repeatedly demonstrated to perform poorer on measures of attention and distractibility, there are a number of children with legitimate ADHD diagnoses who may not score poorly on a particular test (false negative error).
This underscores the long held clinical maxim that there is no single test for ADHD, and that the disorder is best assessed by a multimodal multi-method approach.
Furthermore, in clinical settings caution must be used in interpreting test indices of attention as a specific marker of ADHD since other child psychiatric, developmental, and neurological conditions may produce false positives. This is simply a matter that if ADHD is all you test for, then a variety of children will be mislabeled because the possibility of other conditions is not considered.
Clinical psychologist (and other psychologists) receive comprehensive training in test construction, psychometric theory and interpretation. They are bound by the American Psychological Association Standards of Psychological and Educational Testing. It is recommended that you ensure a licensed psychologist is responsible for the psychological testing of your child.
In Florida it is a violation of Chapter 490 for any individual to perform psychological testing without a psychology license. Beware that some individuals try to circumvent the law by avoiding the label of “psychological report, psychological testing, psychoeducational, or neuropsychological testing”. This is usually clear since the tests may be labeled in a manner that does not use psychological or its permutations.
If you requested “psychological testing” and services were not performed or supervised by a licensed psychologist, a complaint can be made to the Department of Business and Professional regulation.
Kristin Matier-Sharma, et al., Differential Diagnosis of ADHD: Are Objective Measures of Attention, Impulsivity, and Activity Level Helpful? Child Neuropsychology, 1995, Vol 1, No 2, pp 118-127.
Anastopoulos et al, The WISC-III Freedom from Distractibility Factor: It's utility in Identifying Children with Attention Deficit Hyperactivity Disorder. Psychological Assessment, 1994 Vol 6, No 4. 368-371
Silverstein, et al., Multiple Sources of Attentional Dysfunction in Adults with Tourette's Syndrome: Comparison with Attention Deficit-Hyperactivity Disorder. Neuropsychology, 1995, Vol 9, No. 2, 157-164
Concerns Arise about Testing Accommodations for ADHD Students: Article Review/Recap
By Ernest J. Bordini, Ph.D.
articles by Bridget Murray in the May 1997 American Psychological
Association Monitor discussed concerns about potential abuses regarding
test accommodations for college students with ADHD.
colleges consider accommodations such as tutoring, extra time on tests,
and oral examinations when necessary. However, waiving degree
requirements is usually met with more resistance.
been trends towards more students taking nonstandard SATs, as well as
Law School and Medical School entrance examinations. Educators are
becoming concerned that students may be exaggerating or falsifying
histories and documentation to gain unfair advantage on entrance
examinations. These abuses are serious threats to accommodations of
students who legitimately need such accommodations.
Monitor article noted that Russell Barkley finds that some ADHD students
encounter significant difficulties in college. These students may have
difficulty organizing work, remembering due dates, are distracted by
classroom noises, and diversions outside classroom windows.
have been proposed to help minimize abuses and ensure that individuals
who legitimately require accommodations will be identified.
Drs. Murphy and Barkley were noted to agree that ADHD evaluations should
be conducted by licensed mental health professionals such as
psychiatrists, neurologists, or clinical or educational psychologists.
Other problems such as neurological or mental disorders which may
produce ADHD-like symptoms should be ruled out, including depression,
stress, alcohol and drug problems. Though no specific test can rule in
or out ADHD by itself, evaluations should include assessment for mood
and anxiety disorders. Concerns that evaluation not confuse general
cognitive limitations with ADHD were raised, since individuals pushing
their intellectual limits may inaccurately attribute their difficulties
to the disorder.
3. It was recommended that past history of ADHD
be well documented, including review of past school, academic, and/or
testing records True ADHD is a developmental disorder and should not
appear suddenly in college.
4. Assessment was felt to be
necessary for significant debilitating symptoms. At least 5 of the 14
DSM-IV ADHD symptoms were felt to be necessary for current diagnosis.
Indications that the disorder caused difficulties in completing work,
fidgeting, distractibility, and interfered with school and/or work
performance, emotional adjustment, social and daily adjustment were felt
to be important current indicators of the disorder.
CPANCF DOMAINS - ALL RIGHTS RESERVED
For confidentiality reasons patient inquiries are to be directed to our voice line: (352) 336-2888.
Offices in Gainesville and Ocala